Evidence map›Paper›PMID 33618684›Full record

ArticleBMC public health2021

Neonatal mortality burden and trends in UNHCR refugee camps, 2006-2017: a retrospective analysis.

Hannah Tappis, Marwa Ramadan, Josep Vargas, Vincent Kahi, Heiko Hering, Catrin Schulte-Hillen, Paul Spiegel

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Hannah TappisCenter for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21201, USA. Hannah.Tappis@jhu.edu.ORCID 0000-0002-4289-5418
Marwa RamadanCenter for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21201, USA.
Josep VargasUnited Nations High Commissioner for Refugees, Geneva, Switzerland.
Vincent KahiUnited Nations High Commissioner for Refugees, Geneva, Switzerland.
Heiko HeringUnited Nations High Commissioner for Refugees, Geneva, Switzerland.
Catrin Schulte-HillenUnited Nations High Commissioner for Refugees, Geneva, Switzerland.
Paul SpiegelCenter for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21201, USA.
Office of the United Nations High Commissioner for Refugees · CHJohns Hopkins University · US

Funding

Bill and Melinda Gates Foundation OPP1172551
6 · The paper itself

Abstract

backgroundMore than 100 million people were forcibly displaced over the last decade, including millions of refugees displaced across international borders. Although refugee health and well-being has gained increasing attention from researchers in recent years, few studies have examined refugee birth outcomes or newborn health on a regional or global scale. This study uses routine health information system data to examine neonatal mortality burden and trends in refugee camps between 2006 and 2017.

methodsRefugee population and mortality data were exported from the United Nations High Commissioner for Refugees (UNHCR) Health Information System (HIS) database. Tableau was used to export the data. Stata was used for data cleaning and statistical analysis. Neonatal mortality burdens and trends in refugee camps were analyzed and compared to national and subnational neonatal mortality rates captured by household surveys.

findingsOne hundred fifty refugee camps in 21 countries were included in this study, with an average population of 1,725,433 between 2006 and 2017. A total of 663,892 live births and 3382 neonatal deaths were captured during this period. Annual country-level refugee camp neonatal mortality rates (NMR) ranged from 12 to 56 neonatal deaths per 1000 live births. In most countries and years where national population-based surveys are available, refugee camp NMR as reported in the UNHCR HIS was lower than that of the immediate host community.

conclusionThe UNHCR HIS provides insights into the neonatal mortality burden among refugees in camp settings and issues to consider in design and use of routine health information systems to monitor neonatal health in sub-national populations. Increased visibility of neonatal deaths and stillbirths among displaced populations can drive advocacy and inform decisions needed to strengthen health systems. Efforts to count every stillbirth and neonatal death are critical, as well as improvements to reporting systems and mechanisms for data review within broader efforts to improve the quality of neonatal care practices within and outside of health facilities.

Indexed as

Refugee CampsRefugeesFemaleHumansInfant MortalityInfant, NewbornPregnancyRetrospective StudiesUnited NationsCommunity surveillanceHealth systemsHumanitarianMigrationMortalityNeonatal deathNewborn healthRefugeeStillbirth

Identifiers

PMID33618684
PMCPMC7898433
OpenAlexW3112800392

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.